Linda J. Dodds's Drugs in Use: Clinical Case Studies for Pharmacists - 4th PDF

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By Linda J. Dodds

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Before this admission, Mr CW had been treated for stable angina. Comment on the appropriateness of each of Mr CW’s medicines on admission. Are any changes to these therapies appropriate? A3 (a) The choice of agents for stable angina is appropriate. Aspirin and statin therapy reduces the risk of further cardiovascular events. Nitrates and nicorandil therapy reduce the frequency and severity of anginal symptoms, and beta blockers are the mainstay of anti-anginal therapy as they reduce both symptoms and risks.

Day 4 Mr CW remained pain free. His blood pressure remained stable at 150/85 mmHg. 5 mg orally daily ■ Q17 Q18 Q19 Q20 ■ 21 GTN spray two sprays sublingually when required How long should Mr CW remain on his antiplatelet therapy? What information should be communicated to the GP? What points would you wish to discuss with Mr CW prior to discharge? Should Mr CW be offered nicotine replacement therapy? Answers Discuss Mr CW’s risk factors for coronary heart disease (CHD). A1 Mr CW presents with many factors that increase his risk of CHD, which is one of a spectrum of cardiovascular diseases (CVDs).

What counselling would Mr FH require? 25 mg, increasing every 1–2 weeks to a maximum of 10 mg. Mr FH’s renal function and potassium levels should be monitored as well as his blood pressure. Counselling should cover the reasons why his blood pressure is being controlled and what lifestyle issues should be addressed, as well as specific information about ramipril. The renin–angiotensin–aldosterone system plays a central role in hypertension, producing the potent vasoconstrictor angiotensin II and releasing aldosterone.

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